Novel Posterior Anchoring Method Associated With Medial Meniscus Posterior Root Repair

IF 0.2 Q4 ORTHOPEDICS Techniques in Orthopaedics Pub Date : 2022-03-29 DOI:10.1097/BTO.0000000000000570
Y. Okazaki, T. Furumatsu, T. Hiranaka, Keisuke Kintaka, Ximing Zhang, Yuya Kodama, Yusuke Kamatsuki, Tadashi Yamawaki, Toshifumi Ozaki
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引用次数: 1

Abstract

Introduction: Transtibial pullout repair is the gold standard surgical treatment for medial meniscus (MM) posterior root tear. However, posteromedial extrusion of the MM during knee flexion may remain a problem postoperatively. Materials and Methods: We used a novel posterior anchoring technique to help reduce posteromedial extrusion, applying two cinch sutures (TCSs) to the MM posterior horn and creating a bone tunnel at the center of the posterior root attachment to pullout the suture. Another bone tunnel was created at the posterior corner of the medial tibial plateau in the externally rotated knee flexion. The first anchor of an all-inside meniscal repair device was inserted through the inferior surface of the MM posterior horn with tensioning TCS and the second anchor into the bone tunnel. Tibial fixation of pullout sutures was performed using a bioabsorbable screw in 30 degrees knee flexion. Conclusions: Our posterior anchoring method, combined with conventional pullout repair with TCS, helped reduce posteromedial extrusion in patients with a MM posterior root tear.
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新型后锚定方法与内侧半月板后根修复相关
简介:经胫骨拔出修复术是治疗内侧半月板后根撕裂的金标准手术方法。然而,膝关节屈曲时MM的后内侧挤压可能仍然是一个术后问题。材料和方法:我们使用了一种新的后路锚固技术来帮助减少后内侧挤压,在MM后角处应用两根夹缝(TCSs),并在后根附着体中心建立骨隧道以拔出缝合线。在膝关节外旋屈曲时,在胫骨平台内侧后角处建立另一个骨隧道。全内半月板修复装置的第一个锚点通过MM后角的下表面通过张力TCS插入,第二个锚点进入骨隧道。在膝关节屈曲30度时,使用生物可吸收螺钉对拔出缝合线进行胫骨固定。结论:我们的后牙锚定方法,结合传统的TCS拔牙修复,有助于减少MM后根撕裂患者的后内侧挤压。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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